Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.53 / $990.53 / $990.53	Professional		$990.53	$990.53	$990.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $989.22 / $2,131.08	Professional		$122.53	$989.22	$2,131.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.76 / $706.74 / $1,548.93	Facility		$120.76	$706.74	$1,548.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $989.22 / $2,131.08	Professional		$122.53	$989.22	$2,131.08
United Facility/Professional Professional Modifier Low / Median / High Price $719.24 / $784.30 / $1,094.78	Professional		$719.24	$784.30	$1,094.78